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Case Studies | General Surgery | Volume 15 Issue 3, March 2026 | Pages: 1804 - 1807 | India
Burkitt Lymphoma as a Pathologic Leading Point of Ileocecal Intussusception and Small Bowel Obstruction: A Paediatric Case
Abstract: A 14-year-old female presented with 5-month intermittent colicky abdominal pain, loose stools (4-5 episodes/day x 4 days), blood-tinged stools, anorexia, and palpable paraumbilical mass. CT abdomen confirmed ileocolic intussusception (10.5 cm intussusceptum, proximal ileal dilation 3.1 cm, reactive mesenteric nodes 2.6?1.9 cm, mild free fluid) without ischemia. Emergency right hemicolectomy yielded a 24?6?3 cm specimen (ileum 10 cm, colon 14 cm, appendix 6 cm). HPE report: Macroscopy showed external hemorrhage / congestion; ileocecal junction thickened mucosal folds (6?6?3 cm, 6 cm from ileal end). Microscopy (H&E): ulcerated ileocecal mucosa with atypical small-to-medium lymphoid cells infiltrating full bowel wall to serosa (inked margins involved), appendix wall, perinodal tissue, and 1/9 lymph nodes (0.4-1 cm); ileal/colonic margins tumor-free. Impression: Suggestive of lymphoproliferative disorder (IHC advised). Postoperative complications included transfusion reaction and E. coli wound infection (amikacin/cefepime-sensitive). This case highlights malignancy-associated lead points in adolescent intussusception, emphasizing comprehensive HPE for diagnosis beyond imaging.
Keywords: adolescent intussusception, ileocecal mass, lymphoid tumor suspicion, abdominal pain with blood stools, histopathology diagnosis
How to Cite?: Dr Pranay Thawait, Dr Euvalingam, "Burkitt Lymphoma as a Pathologic Leading Point of Ileocecal Intussusception and Small Bowel Obstruction: A Paediatric Case", Volume 15 Issue 3, March 2026, International Journal of Science and Research (IJSR), Pages: 1804-1807, https://www.ijsr.net/getabstract.php?paperid=SR26326235744, DOI: https://dx.dx.doi.org/10.21275/SR26326235744